Claims Specialist - Registered Nurse (Coding Specialist)

Greenlife Healthcare StaffingJericho, NY
$60 - $60Remote

About The Position

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a certified medical coder-claims specialist role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Requirements

  • Active RN license (NY)
  • CPC, CCS, or clinical coding background
  • 2+ years clinical experience
  • Strong clinical judgment
  • Excellent understanding of medical terminology
  • Ability to bridge clinical and coding concepts

Nice To Haves

  • Experience with multispecialty coding and billing

Responsibilities

  • Review clinical documentation for accuracy and completeness
  • Support coders by providing clinical insight and clarification
  • Assist with audit reviews and quality improvement
  • Query providers for missing or unclear clinical details
  • Stay updated on coding and clinical documentation regulations

Benefits

  • Competitive Compensation: $60.00/hour
  • Comprehensive Benefits: Comprehensive benefits package
  • Work Schedule: Full-time, Monday–Friday
  • Professional Growth: Combine nursing knowledge with coding expertise
  • Impactful Work: Enhance documentation integrity and coding accuracy
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